In addition, factors related to the implementation and change process of professionals and practices such as the support of senior management, dynamic leadership, inclusion of all staff members, a proactive approach to prevent resistance, and sustaining change during and after the initial implementation process are important [ 10, 30, 33- 37].
The focus will be on the delivery of the intervention as intended, processes of implementation and change, and responses of patients and healthcare professionals to the intervention.
Leaders who failed to develop a practical vision of implementation and change and who were not involved themselves in the implementation process were described as barriers.
Monitors progress at all sites but is not involved in day-to-day management of the implementation and change process.
Therefore, our findings could only present an association rather than a causality effect between implementation of interventions and changes of drug expenditure or utilization.
Deutsch and colleagues evaluated EHR programs in five countries (England, Germany, Canada, Denmark, and Australia) and found five critical areas for successful implementation: acceptance and change management, demonstration of benefits and funding, project management, health policy-related goals and implementation strategy [ 2].
This should include system changes, continuous education, monitoring of implementation and policy change.
A concerted effort is needed to improve patient safety in primary care that includes system changes, continuous education, monitoring of implementation and policy change.
Their continued intervention was important to overcome resistance, re-implement changes, and secure context-sensitive implementation and adaptation of changes.
